Impact of hospital type II violent events: use of psychotropic drugs and mental health services.
Dement-JM; Lipscomb-HJ; Schoenfisch-AJ; Pompeii-LA
Am J Ind Med 2014 Jun; 57(6):627-639
Background: While violence can adversely affect mental health of victims, repercussions of violence against workers is not as well characterized. Materials and Methods: We explored relationships between workplace violent events perpetrated by patients or visitors (Type II) against hospital employees and the employee use of psychotropic medications or mental health services using a data system that linked violent events with health claims. Results: Significant associations were observed between reported Type II workplace violent events and employee prescription claims for anti-depressants and anxiolytics combined (RR=1.45, 95% CI=1.01-2.33) and anti-depressants alone (RR=1.65, 95% CI=1.10-2.48). No significant association between reported violent events and health claims for treatment of depression or anxiety was observed. Conclusions: Type II violence experienced by hospital workers may lead to increased use of psychotropic drugs, particularly anti-depressants but also anxiolytics. Our results suggest an important role of employee assistance programs in mitigating the psychological consequences of workplace violent events.
Health-care; Health-care-personnel; Medical-care; Medical-personnel; Injuries; Injury-prevention; Surveillance-programs; Statistical-analysis; Humans; Behavior; Force; Mental-disorders; Mental-health; Mental-processes; Antidepressants; Psychotropic-drugs; Medical-services; Pharmaceuticals; Drugs; Health-services; Worker-health;
Author Keywords: workplace violence (Type II); health care workers; mental health services; psychotropic medications; employee assistance programs
John M.Dement, Ph.D., Division of Occupational & Environmental Medicine, Department of Community & Family Medicine, Duke University Medical Center, 2200 W.Main Street, Suite 400, Durham, NC 27705
American Journal of Industrial Medicine
University of Texas, Health Science Center - Houston